KRISTINE CAVANAUGH LPC CADC I NPI 1902013717

NPI Information

NPI: 1902013717
Provider Name: KRISTINE CAVANAUGH, LPC, CADC I
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1007 NE BROADWAY ST STE 220
PORTLAND, OR
ZIP 97232
Phone: (503) 998-5727
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Kristine Cavanaugh, LPC, CADC I is a counselor in Portland, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kristine Cavanaugh, LPC, CADC I NPI is 1902013717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1007 NE BROADWAY ST STE 220
PORTLAND, OR
ZIP 97232-284
Phone: (503) 998-5727

The enumeration date for this NPI number is 5/17/2007 and was last updated on 3/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C2116	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C2116	OTHER	OREGON	OCLPCT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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